Abstract
to estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance. this cross-sectional study was carried out in 14 institutions, with a final sample of 443 elderly people. Mechanical restraint was considered as a dependent variable. there was a 7.45% prevalence of mechanical restraint considering bed rails and 3.84% without considering bed rails. Main justification for restraint use was risk of falls (66.7%), and restraint duration was 24 hours (84.8%). The factors associated with the dependent variable were: wandering (p=0.000); MMSE, with cognitive loss (p=0.000); Katz Index, with dependence for Activities of Daily Living (p=0.000); and Alzheimer's comorbidity (p=0.001) Conclusion: prevalence was lower than international studies, but there was an association with worsening of wandering, dependence, cognitive worsening, and Alzheimer's Disease, showing the need for alternative interventions to mechanical restraint.
Highlights
OBJECTIVEMechanical restraint is a common practice used in health care settings, there are few studies that determine scientific evidence of its benefits and/or harms[1]
Nursing Homes (NHs), 33 elderly people were found in mechanical restraint
None of the institutions had a protocol for carrying out mechanical restraint, and there was at least one elderly person restrained in all institutions
Summary
Mechanical restraint is a common practice used in health care settings, there are few studies that determine scientific evidence of its benefits and/or harms[1]. Examples of mechanical restraint include use of wrist or ankle immobilizers, side rails, abdominal straps, vests, and restraint straps. This restraint type has been used as means of safety and damage prevention, especially falls and challenging behavior situations[2,3]. Despite being adopted as a safety measure to reduce falls or control aggressive and/or challenging behavior, there are serious adverse events related to its use that deserve attention and training of the team for correct clinical decision of the type, reason, and mechanical restraint time[7]. To estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance
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